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HomeMy WebLinkAboutX2019-3498 - Permitsr„ City of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s+ Inspection Requests Phone (949)644-3255 °"trr,�xv'g Combination Type - CIP MECH ELEC PLUM COMB Permit: X2019-3498 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No : 2419-2019 Issued Date : 12/19/2019 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Jab Address. 2620 SAN MIGUEL DR NB Description: COMM TI "NEWPORT NAILS" 1300 SF Legal Desc.: P BK 119 PG 49 PAR 1 Owner: IRVINE COMPANY Contractor: SERSE ACCORINTI Architect: - Address: 550 NEWPORT CENTER DR Address: 8516 ALCOTT ST #6 Address: NEWPORT BEACH, CA 92660 LOS ANGELES CA 90035 / 1 Phone: Phone: 323-304.5171 Phone: State Lic: `�,/ Applicant: NGUYEN Con State Lic: 982303 Engineer: HUE LIU Address: 14120 BEACH BLVD #108 Lic Expire: 03131/2021 Address: 14120 BEACH BLVD #108 UJ WESTMINSTER CA 92683 Bus Lic: BT30070311 WESTMINSTER CA 92683 py Phone: 714-391-2338 Lic Exp Date: 12/31/2020 Phone: 714-391-2338 State Lic:C-066754 lJJ Code Edit : 2016 Worker's Compensation Insurance Designer: Z Type of Construction: VB Carrier: ACCREDITED SURETY CO Address: Occupancy Group: B Policy No: A9WCO20338 Added /New sq.ft. Bldg: 0 Expire: 11/27/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $65.000.00 Building Permit Fee: $866.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $755.16 Additional Fee: $0.00 Plan check Fee: $80.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $46.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $56.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $87.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $227.24 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $178.55 NMUSD Fee: $0.00 $0.00 Plumbing %: $146.08 $0.00 TOTAL FEE : $2,447.03 Plan Check Fee : $1,154.91 Fee Due at Permit Issuance : $1,292.12 A o10 cc0 0.0 0© 0a0 00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PLIr`J' I.Jd ORKS APPROVAL: PLAN CHECK BY: ,`11''OFOVAL TO ISSUE: c v 0 ..00 e0 0c c v 000 0<. t OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable i;em(s) lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 f th yBusiness and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000)ofDivision 3 of the Business and P fes s DidPid my license is in full force and effect. License Class License No Date 7, ' S Contractor Signature !% —�— VORKERS' COMPENSATION DECLARATION %'� IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN erfrmance of the work for which this permit is issued. Policy No. have and will {Mintain workers' compensation i7yrance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior lsurance carrier Slid bolicy numbgypre: / I . ie of Agent t� F/VV certify that, in the performance of the work . if I should become subject to,tho:BWe-r)� of Number Expiration Date permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree 1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided 1',correct. I agree to comply with all applicable city and county qrd'. r� spa tate laws relating to building construction. I authorize representatives of this city or coun tee i tb .f ve-identified property for inspection purposes. �yP� nature of Prooertv Owner or Authorized ADenC' �'' Print Property Owner's or Authorized Agent's NarrLsXr// /�U! U ACTION DATE 34-- 16ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •• ••• •• •• ••• ••• PERMIT EXPIRED U I SUBMITTED ASBESTOS NO TI TO •• PERMIT CANCELLED EPA • ' • • • • i PERMIT EXTENDED A1OMD PERMITFINALASBESTOS IF 0111• APPLICABLE TO CERTIFICATEOF PR POSE DE (TION ••� ••i ••• •�• ••• •e• OCCUPANCYISSUED SIGNATUR I• e